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GACC <br /> ltural or Forest Buildin Exemption.Certifica ' <br /> Equine Facility Exemption Certification D <br /> APP] o County Public Works—Building Inspection Divisi J <br /> M5155 Silverton Rd.NE, Salem Oregon 97305 FEB O 2022 M f <br /> Phone: (503) 588-5147 Fax: (503) 588-7948 Email:building(c�r�,co.marion.or.us OREGON Ma-.ri�v�v _ <br /> — 1— C ;D U N 1�Y <br /> BUILDING INSPECTION <br /> Site Plan is Required—see attached information <br /> Owner/applicant name: Stephan DePaepe Phone: 503-756-0185 Email: steved6977@gmail.com <br /> Mailing address: 11231 Pioneer Rd SE City/State: Lyons, OR Zip: 97358 <br /> Job site address: 11231 Pioneer Rd SE City/State: Lyons, OR Zip: 97358 <br /> Parcel Information: Parcel Size: 1 t") Parcel No.: 5 1-1/C?// Zone: E F U <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within Goat pens, hay &feed storage, Tractor storage <br /> Building Data: Length: 50' Width: 48' Area:_.2 Li i t) Height: 18' <br /> Type of Exemption: it Agricultural Building o Forestry Building o Equine Facility(Provide information below): <br /> What is the proposed maximum number of people(including employees,owners,etc.)that will be present in the building at <br /> any one time? 6 <br /> Will this structure be used by the public at any time? oYes n No <br /> Is the proposed structure located within a floodplain? oYes "No <br /> Is the building located on/used in the operation of a farm? "Yes o No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes "No <br /> Is the use of the structure or the items within it used for any business or commercial activities? oYes "No <br /> If yes,please explain: <br /> Agricultural/Equine Exemption Criteria—Select all that apply: <br /> " Storage,maintenance,or repair of machinery,equipment,and supplies used on this farm <br /> s Raising,harvesting, or selling crops raised on this farm <br /> st Feeding,breeding,management,or sale of livestock,poultry,furbearing animals,or honeybees <br /> o Dairying or the sale of dairy products produced on this farm <br /> " Other agricultural,horticultural,or animal husbandry used <br /> o Stabling,training,riding lessons, or clinics (Complete Equine Exemption Criteria) <br /> #of stalls/horses <br /> #of stalls/horses for personal use only <br /> it of stalls/horses used for commercial or trade purposes including boarding,training,rentals,clinics, shows,etc. <br /> Which of the following systems will the proposed structure have? <br /> Electrical oYes e No(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? oYes a No <br /> Will there be farm animals(poultry excluded)within the building at any time? "Yes o No <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes "No <br /> Will the building be used for storage of feed,hay,or straw? "Yes o No <br /> Will the building be used for major repair of motor vehicle equipment? oYes "No <br /> • Heating/cooling/ventilation/mechanical oYes s No <br /> Septic oYes ■No (Any yes answer will require a separate permit). <br /> Plumbing(Please specify fixture type) oYes it No <br /> Page 1 of 5 <br />